Your grade is 35, which is simply the grade you received from your peers.
See below for details.
There is no one right way to plan a diet for a person with diabetes. While carbohydrate counting has taken precedence in many diabetes nutrition programs and plans, others find that the exchange system for meal planning is a useful tool because of the level of variety that it offers. Depending upon individual preferences, food items on a particular exchange list can be swapped out for other nutritionally similar items on that same list. Instructions:
For this assignment, you will create a one-day meal plan for an individual with a new diagnosis of diabetes. The meal plan must meet the following criteria:
1,700 - 1,900 calories
230 - 270 grams of carbohydrate
In addition, you must spread carbohydrates evenly throughout the day. You may use any resource to determine the amount of calories and carbohydrates in each food item.
After putting together the meal plan, you must then calculate values for each of the food items using the diabetic exchange system. The exchange values you should calculate are those covered in week 3 (starches, fruit, milk, nonstarchy vegetables, meat and meat substitutes, fats). For a review of Exchange Lists, please review the Week 3 lecture on this topic ( Video/ PDF).
To calculate the exchange values of the foods in your meal plan, please utilize the Mayo Clinic Exchange Lists website at:
Each page of exchanges shows what serving size would correspond to one exchange.
Try to put together meals and snacks with foods and drinks that you actually eat, but in exchange portions that are nutritionally similar to items on the exchange lists. While the exchange list items are reflective of a North American diet, if you do not eat foods from these exchange lists, you are encouraged to use outside resources to find similar foods from your food culture that come close to meeting the nutrition specifics of each exchange food group.
After putting together your meal plan, calculating calories/carbs and exchange list values, please answer all four questions below:
Meal Plan: Calories and Carbohydrates
List your meal plan, with calculations of calories and carbohydrates for each item. Make sure to evenly distribute calories and carbohydrates throughout the day.
0 points: Student did not submit meal plan 5 points: Student submitted incomplete meal plan (not all meals, no calories/carbs included), or a meal plan that did not meet the stated criteria 10 points: Student submitted a meal plan that met the criteria of 1700-1900 calories and 230-270 grams carbohydrate, with calorie/carb information for all food items
Food
Meal
Calorie
Carb/g
8 oz coffee
Breakfast
2
0.1
1 tbsp maple syrup
Breakfast
52
13.4
1 pkt instant plain oatmeal
Breakfast
140
28
.5 oz raisins
Breakfast
42
11.1
.25 oz walnuts
Breakfast
46
0.97
6 oz V8 juice (low sodium)
Breakfast
40
8
6 oz. vanilla lowfat greek yogurt
Snack
120
19
4 oz cup unsweetended applesauce
Lunch
86
22.5
1 turkey sandwich with mayo
Lunch
308
26.7
1 mug herbal tea
Lunch
2
0.5
10 baby carrots
Snack
40
0.8
1 cup brussel sprouts
Dinner
38
7.9
1 tbsp olive oil
Dinner
119
0
1 Pacific cod fillet
Dinner
95
0
1 cup brown rice
Dinner
215
44.4
1 tbsp margarine
Dinner
75
0
1 oz driend unsweetened cranberries
Dinner
87
23.4
.5 cup low fat vanilla ice cream
Dinner
120
22
5 oz. red wine
Dinner
125
3.4
.5 oz. Almonds
Snack
85
2.8
Total
1837
234.97
Evaluation/feedback on the above work
Note: this section can only be filled out during the evaluation phase. Score from your peers: 10
Meal Plan: Exchange Lists
List your meal plan, with exchange list calculations for each item.
0 points: Student did not submit exchange list calculations 5 points: Student submitted incomplete or incorrect exchange list calculations 10 points: Student submitted complete, correct exchange list calculations
Food
Meal
Exchange
8 oz coffee
Breakfast
0 free
1 tbsp maple syrup
Breakfast
1starch
1 pkt instant plain oatmeal
Breakfast
2 starch
.5 oz raisins
Breakfast
1fruit
.25 oz walnuts
Breakfast
1 fat
6 oz V8 juice (low sodium)
Breakfast
1.5 n/s vegetable
6 oz. vanilla lowfat greek yogurt
Snack
1 milk
4 oz cup unsweetended applesauce
Lunch
1.5 fruit
1 turkey sandwich with mayo
Lunch
2starch ; 1 meat
1 mug herbal tea
Lunch
0 free
10 baby carrots
Snack
.5 n/s vegetable
1 cup brussel sprouts
Dinner
1 carb
1 tbsp olive oil
Dinner
3 fat
1 Pacific cod fillet
Dinner
1 meat
1 cup brown rice
Dinner
3 starch
1 tbsp margarine
Dinner
3 fat
1 oz driend unsweetened cranberries
Dinner
1.5 fruit
.5 cup low fat vanilla ice cream
Dinner
1starch; 1 fat
5 oz. red wine
Dinner
2 fat
.5 oz. Almonds
Snack
2 fat
Evaluation/feedback on the above work
Note: this section can only be filled out during the evaluation phase. Score from your peers: 10
Discuss Benefits of Exchange System
Based on your experience, please discuss what you consider to be the strengths and/or benefits of using the exchange system for diabetes meal planning. Your answer should be one-to-two paragraphs in length, and relevant to diabetes as a targeted disease state. 0 points: Student did not discuss strengths or benefits of the exchange system
5 points: Student discussed strengths or benefits, but did not write the one-two required paragraphs
10 points: Student thoroughly discussed strengths or benefits of the exchange list system for diabetes meal planning. To address problems in meal planning for the diabetic individual, specifically as it related to portion size, nutrional value, and food choice, the American Diabetes Society and U.S. Health Service developed the exchange system. The primary benefits of this sytem are that it allows "exchanges" or substiutions with in food groups to provide versatility/choices in meal planning, while at the same time keeping macronutrients and calories equivalent. There are six groups of foods that are grouped by similar calorie, carbohydrate, protein, and fat content. The groups are: starches, milk, fruit, nonstarch vegetables, meat, and fats. Exchanges can be made for food choices within a group, however, "cross group" substitutions are not allowed. Finally, there are recommended daily exchange amounts by food group. They are as follows:
Number of Exchanges per Day for Various Calories Levels
Each individuals dietary needs must be considered, thus there are guidelines, but no standardized plans. Patient education under the aegis of a trained nutrional professional is an important element for the success of this dietary method.
Evaluation/feedback on the above work
Note: this section can only be filled out during the evaluation phase. Score from your peers: 7.5
Discuss Limitations of Exchange System
Based on your experience, please discuss what you consider to be the weaknesses and/or limitations of using the exchange system for diabetes meal planning. Your answer should be one-to-two paragraphs in length, and relevant to diabetes as a targeted disease state. 0 points: Student did not discuss weaknesses or limitations of the exchange system
5 points: Student discussed weaknesses or limitations, but did not write the one-two required paragraphs
10 points: Student thoroughly discussed weaknesses or limitations of the exchange list system for diabetes meal planning. The exchange system dietary method requires patient education by trained nutrition professionals. The average person will find using this approach to meal planning to be difficult without guidance. Most people are unfamiliar with the food list groups and the assignment of which foods to which group. Additionally, the definition of "exchanges" by calorie and macronutrient amount combinations is similar to learning a new language, which for most adults is frustrating in the early stages of learning. While calories are a somewhat ubquitious concept, conceptualizing portion sizes by macronutrient grams is quite unfamilar to most. Another limitation of this system is that, apparently, the reading level for most exchange system meal planning literature is ninth to tenth grade. This is approximately the reading level of the New York Times. Thus, many individuals may find the information needed to be successful using the exchange method to be inaccessible. Lastly, it is just plain confusing. On an anecdotal level, the meal plan I created that was within the assigned ranges for total calories and 55%/25%/20% gram ranges for macronutrients. However, when I charted the "exchanges" by food groups, I was notably under for starches and meats. Guess that is why I am an engaged MOOC'er and not yet ready to hang up my Registered Dietician shingle just yet.
Evaluation/feedback on the above work
Note: this section can only be filled out during the evaluation phase. Score from your peers: 7.5
See below for details.
There is no one right way to plan a diet for a person with diabetes. While carbohydrate counting has taken precedence in many diabetes nutrition programs and plans, others find that the exchange system for meal planning is a useful tool because of the level of variety that it offers. Depending upon individual preferences, food items on a particular exchange list can be swapped out for other nutritionally similar items on that same list.
Instructions:
For this assignment, you will create a one-day meal plan for an individual with a new diagnosis of diabetes. The meal plan must meet the following criteria:
- 1,700 - 1,900 calories
- 230 - 270 grams of carbohydrate
In addition, you must spread carbohydrates evenly throughout the day. You may use any resource to determine the amount of calories and carbohydrates in each food item.After putting together the meal plan, you must then calculate values for each of the food items using the diabetic exchange system. The exchange values you should calculate are those covered in week 3 (starches, fruit, milk, nonstarchy vegetables, meat and meat substitutes, fats). For a review of Exchange Lists, please review the Week 3 lecture on this topic ( Video/ PDF).
To calculate the exchange values of the foods in your meal plan, please utilize the Mayo Clinic Exchange Lists website at:
- http://www.mayoclinic.com/health/diabetes-diet/DA00077
Each page of exchanges shows what serving size would correspond to one exchange.Try to put together meals and snacks with foods and drinks that you actually eat, but in exchange portions that are nutritionally similar to items on the exchange lists. While the exchange list items are reflective of a North American diet, if you do not eat foods from these exchange lists, you are encouraged to use outside resources to find similar foods from your food culture that come close to meeting the nutrition specifics of each exchange food group.
After putting together your meal plan, calculating calories/carbs and exchange list values, please answer all four questions below:
Meal Plan: Calories and Carbohydrates
List your meal plan, with calculations of calories and carbohydrates for each item. Make sure to evenly distribute calories and carbohydrates throughout the day.
0 points: Student did not submit meal plan
5 points: Student submitted incomplete meal plan (not all meals, no calories/carbs included), or a meal plan that did not meet the stated criteria
10 points: Student submitted a meal plan that met the criteria of 1700-1900 calories and 230-270 grams carbohydrate, with calorie/carb information for all food items
Evaluation/feedback on the above work
Note: this section can only be filled out during the evaluation phase.Score from your peers: 10
Meal Plan: Exchange Lists
List your meal plan, with exchange list calculations for each item.
0 points: Student did not submit exchange list calculations
5 points: Student submitted incomplete or incorrect exchange list calculations
10 points: Student submitted complete, correct exchange list calculations
Evaluation/feedback on the above work
Note: this section can only be filled out during the evaluation phase.Score from your peers: 10
Discuss Benefits of Exchange System
Based on your experience, please discuss what you consider to be the strengths and/or benefits of using the exchange system for diabetes meal planning. Your answer should be one-to-two paragraphs in length, and relevant to diabetes as a targeted disease state.
0 points: Student did not discuss strengths or benefits of the exchange system
5 points: Student discussed strengths or benefits, but did not write the one-two required paragraphs
10 points: Student thoroughly discussed strengths or benefits of the exchange list system for diabetes meal planning.
To address problems in meal planning for the diabetic individual, specifically as it related to portion size, nutrional value, and food choice, the American Diabetes Society and U.S. Health Service developed the exchange system. The primary benefits of this sytem are that it allows "exchanges" or substiutions with in food groups to provide versatility/choices in meal planning, while at the same time keeping macronutrients and calories equivalent. There are six groups of foods that are grouped by similar calorie, carbohydrate, protein, and fat content. The groups are: starches, milk, fruit, nonstarch vegetables, meat, and fats. Exchanges can be made for food choices within a group, however, "cross group" substitutions are not allowed. Finally, there are recommended daily exchange amounts by food group. They are as follows:
Number of Exchanges per Day for Various Calories Levels
Source:
"Diabetes diet - Diabetic Exchange Lists." 2003. 24 Feb. 2013 <http://www.umm.edu/patiented/articles/what_general_guidelines_heart-healthy_diets_000042_5.htm>
Each individuals dietary needs must be considered, thus there are guidelines, but no standardized plans. Patient education under the aegis of a trained nutrional professional is an important element for the success of this dietary method.
Evaluation/feedback on the above work
Note: this section can only be filled out during the evaluation phase.Score from your peers: 7.5
Discuss Limitations of Exchange System
Based on your experience, please discuss what you consider to be the weaknesses and/or limitations of using the exchange system for diabetes meal planning. Your answer should be one-to-two paragraphs in length, and relevant to diabetes as a targeted disease state.
0 points: Student did not discuss weaknesses or limitations of the exchange system
5 points: Student discussed weaknesses or limitations, but did not write the one-two required paragraphs
10 points: Student thoroughly discussed weaknesses or limitations of the exchange list system for diabetes meal planning.
The exchange system dietary method requires patient education by trained nutrition professionals. The average person will find using this approach to meal planning to be difficult without guidance. Most people are unfamiliar with the food list groups and the assignment of which foods to which group. Additionally, the definition of "exchanges" by calorie and macronutrient amount combinations is similar to learning a new language, which for most adults is frustrating in the early stages of learning. While calories are a somewhat ubquitious concept, conceptualizing portion sizes by macronutrient grams is quite unfamilar to most. Another limitation of this system is that, apparently, the reading level for most exchange system meal planning literature is ninth to tenth grade. This is approximately the reading level of the New York Times. Thus, many individuals may find the information needed to be successful using the exchange method to be inaccessible. Lastly, it is just plain confusing. On an anecdotal level, the meal plan I created that was within the assigned ranges for total calories and 55%/25%/20% gram ranges for macronutrients. However, when I charted the "exchanges" by food groups, I was notably under for starches and meats. Guess that is why I am an engaged MOOC'er and not yet ready to hang up my Registered Dietician shingle just yet.
Evaluation/feedback on the above work
Note: this section can only be filled out during the evaluation phase.Score from your peers: 7.5